Individual
MRS. JENNIFER ROSBOROUGH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-6762
Mailing address
ATTN. MANAGED CARE PLANNING, PO BOX 40908, FAYETTEVILLE, NC 28309
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
5006870
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
5006870
NC
Other
Enumeration date
01/26/2016
Last updated
07/29/2025
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